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| 腹膜透析患者腹膜炎风险感知与健康行为决策评估量表的编制 |
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| 投稿时间：2026-03-11 修订日期：2026-07-16 |
| DOI： |
| 中文关键词: 腹膜透析 腹膜炎 风险感知 健康行为 行为决策 信度 效度 |
| 英文关键词:peritoneal dialysis peritonitis risk perception health behavior behavioral decision-making reliability validity |
| 基金项目: |
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| 中文摘要: |
| 目的 编制腹膜透析患者腹膜炎风险感知与健康行为决策评估量表,并检验其信效度。方法 参考健康信念模型、行为决策相关理论和决策平衡相关理论,在文献回顾、质性访谈的基础上初步形成条目池,通过德尔菲专家函询法对条目进行修订。通过预调查对量表进行再次修改。选取2025年6—12月湖北省某三级甲等综合医院肾内科腹膜透析患者进行调查,筛选量表条目并进行信效度分析。结果 本研究从感知易感性、健康行为益处、决策平衡、感知严重性、决策支持、健康行为决策维度形成38个条目。项目分析中,临界比值法分析结果显示,差异具有统计学意义(t=10.695～35.237,均P<0.05)；各条目与总量表的相关系数为0.434～0.563,均P<0.05。量表总的Cronbach"s α系数为0.882,量表总的折半信度为0.835,量表总的重测信度为0.849。探索性因子分析提取6个公因子,累计方差贡献率为63.940%,各条目因子载荷值为0.614～0.800；验证性因子分析结果显示,各项模型适配指标均在可接受范围标准,模型拟合理想。条目水平的内容效度指数为0.889～1.000,量表水平的内容效度指数为0.897。各维度与总量表的相关系数为0.461～0.563,均P＜0.01。结论 本研究中编制的腹膜透析患者腹膜炎风险感知与健康行为决策评估量表具有良好的信度效度,可为我国腹膜透析患者腹膜炎风险感知与健康行为决策水平的评估提供借鉴。 |
| 英文摘要: |
| Objective To develop an assessment scale for peritoneal dialysis patients" perception of peritonitis risk and health behavior decision-making, and to examine its reliability and validity. Methods Based on the Health Belief Model, behavioral decision-making theories, and decision balance theories, an initial item pool was formed through literature review and qualitative interviews. Expert Delphi consultation was used to revise the items, followed by pretesting for further modifications. A survey was conducted among peritoneal dialysis patients with peritonitis in the nephrology department of a tertiary general hospital in Hubei Province from June to December 2025 to select scale items and analyze reliability and validity. Results A total of 38 items were developed across dimensions of perceived susceptibility, health behavior benefits, decision balance, perceived severity, decision support, and health behavior decision-making. In the item analysis, the critical ratio method revealed statistically significant differences (t=10.695–35.237, all P<0.05). The correlation coefficients between individual items and the total scale ranged from 0.434 to 0.563 (all P<0.05). The overall Cronbach"s α coefficient of the scale was 0.882, the split-half reliability was 0.835, and the test-retest reliability was 0.849. Exploratory factor analysis extracted six common factors, accounting for 63.940% of the cumulative variance, with factor loadings ranging from 0.614 to 0.800. Confirmatory factor analysis showed all model fit indices within acceptable standards, indicating an ideal model fit. The content validity index at the item level ranged from 0.889 to 1.000, while the scale-level content validity index was 0.897. The correlation coefficients between each dimension and the total scale ranged from 0.461 to 0.563 (all P<0.01). Conclusion The developed scale for assessing peritoneal dialysis patients" perception of peritonitis risk and health behavior decision-making demonstrates good reliability and validity, providing a reference for evaluating peritonitis risk perception and health behavior decision-making levels in peritoneal dialysis patients in China. |
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